Intercostal pseudoaneurysm after median sternotomy treated with percutaneous thrombin injection

Bibliographic Details
Title: Intercostal pseudoaneurysm after median sternotomy treated with percutaneous thrombin injection
Authors: Jack F. Donaghue, BA, Kirthi S. Bellamkonda, MD, MSc, Bjoern D. Suckow, MD, MS, Jock N. McCullough, MD
Source: Journal of Vascular Surgery Cases and Innovative Techniques, Vol 11, Iss 2, Pp 101714- (2025)
Publisher Information: Elsevier, 2025.
Publication Year: 2025
Collection: LCC:Surgery
LCC:Diseases of the circulatory (Cardiovascular) system
Subject Terms: Intercostal pseudoaneurysm, Thrombin injection, Median sternotomy, Cardiac surgery, Surgery, RD1-811, Diseases of the circulatory (Cardiovascular) system, RC666-701
More Details: Intercostal artery pseudoaneurysm is an exceedingly rare complication seen after chest wall insult, either through trauma or operative procedures. We present a case of a 74-year-old man with mitral regurgitation and aortic stenosis who underwent aortic and mitral valve replacement via sternotomy. At the 1-month follow-up, a 1-cm pulsatile mass was noted adjacent to the left of the sternotomy in the sixth intercostal space. Concern for a pseudoaneurysm of the intercostal artery prompted evaluation with ultrasound, which demonstrated a pseudoaneurysm originating from an intercostal artery. This unusually located pseudoaneurysm was treated with ultrasound-guided thrombin injection with complete resolution.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 2468-4287
Relation: http://www.sciencedirect.com/science/article/pii/S2468428724002983; https://doaj.org/toc/2468-4287
DOI: 10.1016/j.jvscit.2024.101714
Access URL: https://doaj.org/article/86eb05bb0fd647029a6cad786a63522c
Accession Number: edsdoj.86eb05bb0fd647029a6cad786a63522c
Database: Directory of Open Access Journals
More Details
ISSN:24684287
DOI:10.1016/j.jvscit.2024.101714
Published in:Journal of Vascular Surgery Cases and Innovative Techniques
Language:English